Individual
KELLIE MICHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6345 S SHELBY WAY, GILBERT, AZ 85298-8837
(602) 626-0860
Mailing address
6345 S SHELBY WAY, GILBERT, AZ 85298-8837
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
25109
AZ
Other
Enumeration date
08/07/2025
Last updated
08/07/2025
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